Individual provider Active NPI

Erica Childress, PA-C

  • Physician Assistant
  • Greenwood, IN
National Provider Identifier
1588975502
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10001187A Issued in IN
Practice address
362 Meridian Parke LN
Greenwood, IN 46142-9425
Phone
(317) 859-3737
Fax
(317) 859-3730
NPI assigned
Jun 24, 2010
Last updated
Mar 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10001187A IN Primary

Addresses

Primary practice location

362 Meridian Parke LN
Greenwood, IN 46142-9425

Mailing address

PO Box 664056
Indianapolis, IN 46266-4056
Phone (317) 859-3737

Other practice location 1

8111 S Emerson Ave
Indianapolis, IN 46237-8601
Phone (131) 752-8814

Other names 1

  • Erica Maddux Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address echildress4584@Direct.FranciscanAlliance.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100825000286 IN Practitioner - Physician Assistant 1456475672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.82 of 100Reported as group
Quality
91.66
Improvement activities
40
Cost
78.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10001187AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Emergency Solutions LLC Past Accepting new patients
St. Francis Medical Group, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: echildress4584@direct.franciscanalliance.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1588975502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 664056",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462664056",
            "telephone_number": "317-859-3737",
            "fax_number": "317-859-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 MERIDIAN PARKE LN",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461429425",
            "telephone_number": "317-859-3737",
            "fax_number": "317-859-3730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8111 S Emerson Ave",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462378601",
            "country_code": "US",
            "telephone_number": "131-752-8814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHILDRESS",
        "first_name": "ERICA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10001187A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "echildress4584@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8111 S Emerson Ave",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462378601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "MADDUX",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenwood, IN

Sources for this page

Verify at the official NPI Registry.